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Biomedical subjects

H J Lampe

Publications and source records attributed to H J Lampe.

6 recordsLinked to original sources
PubMed1989

[Primary excision of third degree burns].

Fresh third-degree burns with a diameter up to that of a hand should be excised primarily and the wound edges closed under tension. Fasciocutaneous flaps can be designed for wound closure especially on the extremitites. This treatment requires half the time of skin grafting. Since patients with huge burn areas often react with hypertrophic scarring for years, a simple reduction of the areas by wide excision and closure under tension appears to be the method of first choice. In contrast to scar tissue healthy skin has a natural ability to stretch when wound margins are closed under maximal tension. The efficacy of possibilities is proven by the many favourable results.

Burns↗
PubMed1989

[Plastic correction of thoracic wall burns with reference to the female breast].

Neck and shoulder contractures, large scars of the thoracic wall and breast defects require plastic surgery. If possible, local flaps are the best solution for contractures, eventually enlarged by skin expanders. Full thickness skin grafts, Z-plasties and simple excisions with primary wound closure are alternative methods. For breast reconstruction early skin grafts or secondary local flaps are used. Myocutaneous flaps from the latissimus dorsi or rectus abdominis are seldom indicated.

Burns↗
PubMed1987

[Surgical therapeutic possibilities in extensive chest wall and rib metastases].

87 extensive tumors of the chest wall were resected in an 8 year period. The defects including subtotal sternectomies and segment resections up to 7 ribs were reconstructed with musculocutaneous flaps without any osteoplasty or implants. The latissimus dorsi flap closes pleural defects safely. The innervated muscle stabilizes the chest wall. The rectus abdominis flap fits defects of greater volume but the blood supply is less reliable. The use of pectoralis major or free microsurgical tissue transfer may be indicated in absence of any other possibility.

Bone Neoplasms↗
PubMed1980

[Urologic complications of Crohn disease].

A report on urologic complications of Crohn's disease observed in 9 out of 51 operated patients. Primary resection of the diseased bowel segment is of decisive importance in the treatment of these vesicoenteric fistulae or ureteric stenoses. Additional ureterolysis is required only in case of extensive retroperitoneal fibrosis.

Adult↗
PubMedDate not supplied

[Surgical indications in Crohn's disease and ulcerative colitis in childhood].

Complications after ineffective medical management are indications for surgical treatment in Crohn's disease and ulcerative colitis. Immediate intervention is necessary in perforation, bleeding and intestinal obstruction, but abscess, fistulation, chronic bowel obstruction and an inflammatory tumor need also surgery without longer delay. Acute ileitis terminalis imitating acute appendicitis is an exceptional case of Crohn's disease. Local recurrence, severe abdominal pain, diarrhoea, retardation of growth and development, and risk of malignant change may be reasons for elective surgery. As development of recurrence after operation is frequent and the results of colectomy and proctocolectomy with ileostomy are not always satisfactory some caution to surgery in ulcerative colitis and Crohn's disease in childhood is advisable.

Child↗